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重症肝炎的彩色多普勒特征及其临床意义探讨
引用本文:林健玲,郭淑英,胡少兰. 重症肝炎的彩色多普勒特征及其临床意义探讨[J]. 中国超声诊断杂志, 2004, 5(10): 751-754
作者姓名:林健玲  郭淑英  胡少兰
作者单位:350025,福州市,福州传染病医院
摘    要:目的 探讨重症肝炎门脉动力学变化的意义。方法 对 84例临床治愈组和 78例临床恶化或死亡组的重症肝炎的门脉动力学参数及其二维声像表现进行回顾性分析。结果 临床治愈组的门静脉血流速度与正常组无差异 ,临床恶化或死亡组的门脉血流速度明显减缓 ,两组比较有显著性差异 (P<0 .0 1)。临床治愈组的二维声像表现为轻度损害改变者占 94 .0 5 % ,而另一组表现为重度改变者占 79.4 8% ,两组比较有高度显著性差异 (P<0 .0 1)。结论 重症肝炎发生在已有明显肝损坏的患者 ,当门脉血流速度明显减缓时则预后差。认为彩超检查对重症肝炎的预后判断及指导治疗有一定的价值。

关 键 词:重症肝炎 临床治愈 门脉血流 彩色多普勒 改变 临床意义 治疗 死亡 彩超检查 轻度

Color Doppler Ultrasound Features and Clinical Significance of Severe Hepatitis
Lin Jianling,Guo Shuying,Hu Shaolan. Color Doppler Ultrasound Features and Clinical Significance of Severe Hepatitis[J]. Chinese Journal of Ultrasound Diagnosis, 2004, 5(10): 751-754
Authors:Lin Jianling  Guo Shuying  Hu Shaolan
Affiliation:Lin Jianling,Guo Shuying,Hu Shaolan Department of Ultrasound,Fuzhou Infection Hospital,Fuzhou 350025 China
Abstract:Objective To explore the value of the hemodymamic changes of portal vein in severe hepatitis.Methods In eighty-four clinical curred cases and seventy-eigat or dead cases with severe hepatitis,hemodymamic parameters and two-dimensional sonographic changes were studied.Results The blood flow velocity in portal vein in chinical cases had no difference from that of normal controls.The blood flow velocity of the other cases was slower than that clinical curred cases.There was significant difference between the two groups((P<0.01).Sonograohy showed slight changes in clinical cases(94.05%)and severe changes in deteriorated cases(79.48)(P<0.01).Conclusions The deteriorated group had serious liver damage which caused the decrease of flow velocity in portal vein resulting in bad prognosis.Color Doppler ultrasound is worthy in diagnosis,prognosis and treatment of severe hepatitis.
Keywords:Severe hepatitis Blood flow velocity Sonography
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